CLINICAL MEASUREMENT OF MUCOSAL WAVE VELOCITY USING SIMULTANEOUS PHOTOGLOTTOGRAPHY AND LARYNGOSTROBOSCOPY

Simultaneous glottal transillumination or photoglottography (PGG), electroglottography (EGG), and video laryngostroboscopy were used to measure the traveling wave velocity of the vibrating vocal folds during phonation in human subjects. The duration of travel was calibrated from the PGG signal, while the displacement of the upper and lower lips of the vibrating vocal folds was calibrated from parallel laser beams projected onto the vocal folds. The mucosal wave velocity varied with the portion of the glottal cycle. The amplitude of displacement correlated positively with the intensity of phonation and negatively with the fundamental frequency and was decreased for breathy and pressed phonation modes. The velocity of the opening phase segment of the PGG signal directly correlated with the top lip displacement of the vibrating vocal fold, and bottom lip displacement correlated with the closing phase of the PGG signal. Therefore, with suitable calibration, the effects of mucosal lateral displacement may be measured from a PGG signal. Simultaneous measures of PGG, EGG, and stroboscopy provide a three-dimensional representation of glottal vibration that can be numerically analyzed.